1
FORM - `A’
Form for seeking prior approval under section 2 of the proposals by the
State Government and other authorities
[Forest (Conservation) Act, 1980]
PART –I
(to be filled up by user agency)
1. Project details:
(i) Short narrative of the proposal and project/scheme for which the forest land is required.
(ii) Map showing the required forest land, boundary of adjoining forest on a 1:50,000 Scalemap.
(iii) Cost of the project:
(iv) Justification for locating the project in forest area.
(v) Cost – benefit analysis (to be enclosed).
(vi) Employment likely to be generated.
2. Purpose-wise break up of the total land required.
3. Details of displacement of people due to the project, if any:
(i) Number of families.
(ii) Number of Scheduled Castes/Scheduled Tribe families.
(iii) Rehabilitation plan (to be enclosed)
4. Whether clearance under Environment (Protection) Act, 1986 required?
(Yes/No).
5. Undertaking to bear the cost of raising and maintenance of compensatory Afforestation and/or penal compensatory Afforestation as well as cost for protection and regeneration of Safety Zone, etc. as per the scheme prepared by the State Government (undertaking to be enclosed).
6. Details of Certificates/documents enclosed as required under the instructions.
Signature
(Name in Block letters):
Designation:
Address (of User Agency):
Date:- ……………………
Place:- ……………………
State serial No. of proposal …………………………..
(To be filled up by the Nodal Officer with date of receipt)
PART – II
(To be filled by the concerned Deputy Conservator of Forests)
State serial No. of proposal…………………………………..
7. Location of the project/scheme:
(i) State/Union Territory
(ii) District.
(iii) Forest Division
(iv) Area of forest land proposed for diversion (in ha.)
(v) Legal status of forest
(vi) Density of vegetation
(vii) Species-wise (scientific names) and diameter class-wise enumeration of trees(to be enclosed, in case of irrigation/hydel projects enumeration at FRL, FRL-2 meter and FRL-4 meter also to be enclosed).
(viii) Brief note on vulnerability of the forest area to erosion.
(ix) Approximate distance of proposed site for diversion from boundary of forest.
(x) Whether forms part of National Park, Wildlife sanctuary, biosphere reserve elephant corridor etc. (If so, the details of the area and comments of the Chief Wildlife Warden to be annexed).
(xi) Whether any rare/endangered/unique species of flora and fauna found in
the area if so details thereof.
(xii) Whether any protected archaeological/heritage site/Defence establishment
any other important monument is located in the area. If so, the details
thereof with NOC from competent authority, is required.
8. Whether the requirement of forest land as proposed by the user agency in Col.2
of Part –I is unavoidable and barest minimum for the project.
If no, recommended area item-wise with details of alternatives examined.
9. Whether any work in violation of the Act has been carried out (Yes/No).
If yes, details of the same including period of work done, action taken on
erring officials. Whether work in violation is still in progress.
10. Details of compensatory Afforestation scheme:
(i) Details of non forest area/degraded forest area identified for
compensatory afforestation, its distance from adjoining forest, number
of patches, size of each patch.
(ii) Map showing non-forest/degraded forest area identified for compensatory afforestation and adjoining forest boundaries.
(iii) Detailed compensatory afforestation scheme including species to be planted, implementing agency, time schedule, cost structure, etc.
(iv) Total financial outlay for compensatory afforestation scheme.
(v) Certificates from competent authority regarding suitability of area identified for compensatory afforestation and from management point of view. (To be signed by the concerned Deputy Conservator of Forests).
11. Site inspection report of the DCF (to be enclosed) especially highlighting facts asked in col.7 (xi, xii), 8 and 9 above.
12. Division/District profile:
(i) Geographical area of the district.
(ii) Forest area of the district.
(iii) Total forest area diverted since 1980 with number of cases.
(iv) Total compensatory afforestation stipulated in the district/division
since 1980 on
(a) forest land including Penal Compensatory Afforestation.
(b) non-forest land.
(v) Progress of compensatory afforestation as on (date)……………on
(a) forest land
(b) non-forest land.
13. Specific recommendations of the DCF for acceptance or otherwise of the proposal with reasons.
Signature
Name:
Official Seal:
Date:- ………………….
Place:- …………………
PART – III
(To be filled by the concerned Conservator of Forests)
14. Whether site, where the forest land involved islocated has been inspected by concerned Conservator of Forests (Yes/No).
If yes, the date of inspection & observations made in form of inspection note to be enclosed.
15. Whether the concerned Conservator of Forests agree with the information given in Part-B and the recommendations of Deputy Conservator of Forests.
16. Specific recommendations of concerned Conservator of Forests for acceptance or otherwise of the proposal with detailed reasons.
Signature
Name:
Official Seal:
Date:- ……………………
Place:- …………………..
PART – IV
(To be filled in by the Nodal Officer or Principal Chief Conservator of Forests or Head of Forest Department)
17. Detailed opinion and specific recommendations of the State Forest Department for acceptance of otherwise of the proposal with remarks.
(While giving opinion, the adverse comments made by concerned Conservator of Forests or Deputy Conservator of Forests should be categorically reviewed and critically commented upon).
Signature
Name & Designation:
(Official Seal):
Date:- ……………………
Place:- …………………..
PART – V
(To be filled on by the Secretary in charge of Forest Department or by any otherauthorized officer of the State Government not below the rank of an Under Secretary)
18. Recommendation of the State Government:
(Adverse comments made by any officer or authority in Part-B or Part-C or Part-D above should be specifically commented upon).
Signature
Name & Designation:
(Official Seal):
Date:- ………………….
Place:- …………………
INSTRUCTIONS (for Part-I):-
1. The project authorities may annex a copy of the approved project/plan in addition
to filling Col.1 (i) e.g. IBM approved mining plan for major minerals/CMPDI plan with subsidence analysis reports, etc.
2. Map has to be in original duly authenticated jointly by project authorities and concerned DCF-Col. 1 (ii).
3. Complete details of alternatives alignments examined especially in case of project like roads, transmission lines, railway lines, canals, etc. to be shown on map with details of area of forest land involved in each alternative to be given – Col .1 (iii).
4. For proposals relating to mining, certificate from competent authority like District Mining Officer about non-availability of the same mineral in surrounding/nearby non-forest areas.
5. In case the same company/individual has taken forest land for similar project in the state, a brief detail of all such approvals/leases be given as an enclosure along with current status of the projects.
6. The latest clarifications issued by the Ministry under Forest (Conservation) Act, 1980 may be kept in mind. In case such information do not fit in the given columns, the same shall be annexed separately.
GENERAL INSTRUCTIONS:-
1. On receipt of proposal, Nodal Officer shall issue a receipt to the user agency indicating therein the name of the proposal, user agency, area in hectare, serial number and date of receipt.
2. If the space provided above is not sufficient to specify any information, please attach separate details/documents.
3. While forwarding the proposal to the Central Government, complete details on all aspects of the case as per Form prescribed above read with the clarifications issued by the Ministry of Environment and Forests, Government of India, New Delhi should be given. Incomplete or deficient proposals shall not be considered and shall be returned to the State Government in original.
4. The State Government shall submit the proposal to the Central Government within stipulated time limits. In case of delay while forwarding, the reasons for the same to be given in the forwarding/covering letter.